The dorsa of the hands are used to determine
a. temperature.
b. fine tactile discrimination.
c. position of an organ.
d. vibration.
Give this one a try later!
a. temperature.
The dorsa (back) of hands and fingers are best for determining temperature
because the skin is thinner than on the palms. The base of the fingers or
ulnar surface of the hand is best for vibration. A grasping action of the
fingers and thumb is the best way to detect the position, shape, and
consistency of an organ or mass. The fingertips are best for fine tactile
discrimination.
,The CAGE test is a screening questionnaire that helps to identify
a. depression.
b. excessive or uncontrollable drinking.
c. unhealthy lifestyle behaviors.
d. personal response to stress.
Give this one a try later!
b. excessive or uncontrollable drinking.
CAGE is a screening questionnaire to identify excessive or uncontrolled
drinking (C = Cut down; A = Annoyed; G = Guilty; E = Eye opener). The
health history assesses lifestyle, including factors such as exercise, diet, risk
reduction, and health promotion behaviors. Coping and stress
management are assessed during the functional assessment of the
complete health history. Depression is assessed during the review of
systems and during the mental status assessment (mood and affect). The
Geriatric Depression Scale, Short Form is an assessment instrument for use
with older adults.
The nurse questions the reliability of the history provided by the patient. One method
to verify information within the context of the interview is to
a. ask the patient if there is someone who could verify information.
b. rephrase the same questions later in the interview.
c. call a family member to confirm information.
d. review previous medical records.
Give this one a try later!
b. rephrase the same questions later in the interview.
A reliable person always gives the same answers, even when questions are
rephrased or are repeated later in the interview. This option is not within the
, context of the interview. Although this may possibly lead to verification of
information, asking the patient for corroboration of information from
another individual is not within the context of the present interview. This
would occur outside the context of the interview.
To examine a toddler, the nurse should
a. allow the child to sit on the parent's lap.
b. ask the child to decide whether parents or siblings should be present.
c. remove the child's clothing at the beginning of the examination.
d. perform the assessment from head to toes.
Give this one a try later!
a. allow the child to sit on the parent's lap.
A toddler should be sitting up on the parent's lap for the examination. An
infant will not object to having clothing removed; a toddler does not like to
take off his or her clothing. A school-age child has a sense of modesty; to
maintain privacy, ask a child who is 11 or 12 years old to decide whether
parents or siblings should be present. The sequence of the examination for
a toddler should start with nonthreatening areas first; save distressing
procedures such as assessment of the head, ears, nose, or throat for last.
Dehydration and malnutrition can be manifestations of ________________ in older adults.
a. physical abuse
b. intimate partner violence
c. psychological abuse
d. neglect
Give this one a try later!
, d. neglect
Neglect in an older person can manifest with symptoms of dehydration and
malnutrition. Neglect (physical) is defined as failure to provide basic goods
and services such as food, shelter, health care, and medications. Intimate
partner violence is identified by two types: physical or sexual violence
(physical force) and psychological/emotional abuse or coercive tactics
when there has been prior physical or sexual violence. Physical abuse is
physical injury caused by intentional or unintentional harmful acts.
Psychological abuse is defined as behaviors that result in mental anguish.
Each culture has its own healers who usually
a. own and operate specialty community clinics.
b. cost less than traditional or biomedical providers.
c. recommend folk practices that are dangerous.
d. speak at least two languages.
Give this one a try later!
b. cost less than traditional or biomedical providers.
Most healers cost significantly less than healers practicing in the
biomedical or scientific health care system. Most healers speak the
person's native tongue. Most healers make house calls. Most health
practices used by folk healers are not dangerous and are usually harmless.
The examiner should use hand-washing instead of an alcohol-based hand rub
a. if the patient is HIV positive.
b. if the patient has an infection with Clostridium difficile.
c. if the patient has an infection with Mycobacterium tuberculosis.
d. if the patient has an infection with hepatitis B virus.
a. temperature.
b. fine tactile discrimination.
c. position of an organ.
d. vibration.
Give this one a try later!
a. temperature.
The dorsa (back) of hands and fingers are best for determining temperature
because the skin is thinner than on the palms. The base of the fingers or
ulnar surface of the hand is best for vibration. A grasping action of the
fingers and thumb is the best way to detect the position, shape, and
consistency of an organ or mass. The fingertips are best for fine tactile
discrimination.
,The CAGE test is a screening questionnaire that helps to identify
a. depression.
b. excessive or uncontrollable drinking.
c. unhealthy lifestyle behaviors.
d. personal response to stress.
Give this one a try later!
b. excessive or uncontrollable drinking.
CAGE is a screening questionnaire to identify excessive or uncontrolled
drinking (C = Cut down; A = Annoyed; G = Guilty; E = Eye opener). The
health history assesses lifestyle, including factors such as exercise, diet, risk
reduction, and health promotion behaviors. Coping and stress
management are assessed during the functional assessment of the
complete health history. Depression is assessed during the review of
systems and during the mental status assessment (mood and affect). The
Geriatric Depression Scale, Short Form is an assessment instrument for use
with older adults.
The nurse questions the reliability of the history provided by the patient. One method
to verify information within the context of the interview is to
a. ask the patient if there is someone who could verify information.
b. rephrase the same questions later in the interview.
c. call a family member to confirm information.
d. review previous medical records.
Give this one a try later!
b. rephrase the same questions later in the interview.
A reliable person always gives the same answers, even when questions are
rephrased or are repeated later in the interview. This option is not within the
, context of the interview. Although this may possibly lead to verification of
information, asking the patient for corroboration of information from
another individual is not within the context of the present interview. This
would occur outside the context of the interview.
To examine a toddler, the nurse should
a. allow the child to sit on the parent's lap.
b. ask the child to decide whether parents or siblings should be present.
c. remove the child's clothing at the beginning of the examination.
d. perform the assessment from head to toes.
Give this one a try later!
a. allow the child to sit on the parent's lap.
A toddler should be sitting up on the parent's lap for the examination. An
infant will not object to having clothing removed; a toddler does not like to
take off his or her clothing. A school-age child has a sense of modesty; to
maintain privacy, ask a child who is 11 or 12 years old to decide whether
parents or siblings should be present. The sequence of the examination for
a toddler should start with nonthreatening areas first; save distressing
procedures such as assessment of the head, ears, nose, or throat for last.
Dehydration and malnutrition can be manifestations of ________________ in older adults.
a. physical abuse
b. intimate partner violence
c. psychological abuse
d. neglect
Give this one a try later!
, d. neglect
Neglect in an older person can manifest with symptoms of dehydration and
malnutrition. Neglect (physical) is defined as failure to provide basic goods
and services such as food, shelter, health care, and medications. Intimate
partner violence is identified by two types: physical or sexual violence
(physical force) and psychological/emotional abuse or coercive tactics
when there has been prior physical or sexual violence. Physical abuse is
physical injury caused by intentional or unintentional harmful acts.
Psychological abuse is defined as behaviors that result in mental anguish.
Each culture has its own healers who usually
a. own and operate specialty community clinics.
b. cost less than traditional or biomedical providers.
c. recommend folk practices that are dangerous.
d. speak at least two languages.
Give this one a try later!
b. cost less than traditional or biomedical providers.
Most healers cost significantly less than healers practicing in the
biomedical or scientific health care system. Most healers speak the
person's native tongue. Most healers make house calls. Most health
practices used by folk healers are not dangerous and are usually harmless.
The examiner should use hand-washing instead of an alcohol-based hand rub
a. if the patient is HIV positive.
b. if the patient has an infection with Clostridium difficile.
c. if the patient has an infection with Mycobacterium tuberculosis.
d. if the patient has an infection with hepatitis B virus.
